TRI-MED HEALTH & WELLNESS CENTER, PC
NPI 1336331339
Chiropractor in Davenport, IA

Active since August 14, 2007
4915 UTICA RIDGE RD, DAVENPORT, IA 52807(563) 823-5555(563) 823-5556 Get Directions Write a Review

NPPES record last updated: March 31, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tri-med Health & Wellness Center, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRI-MED HEALTH & WELLNESS CENTER, PC (NPI 1336331339) is a healthcare organization registered as a chiropractor in Davenport, Iowa and active in the NPI registry since August 2007. The organization lists Mitchell Robert Mally, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1336331339
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameTRI-MED HEALTH & WELLNESS CENTER, PC
Location Address4915 UTICA RIDGE RDDavenport, IA 52807-3063
Mailing AddressPo Box 2709Davenport, IA 52809-2709 · (563) 823-5555 · Fax (563) 823-5556
Fax(563) 823-5556
Organization SubpartNo
Authorized OfficialMitchell Robert MallyClinic Director · (563) 823-5555
Enumeration DateAugust 14, 2007
Last NPPES UpdateMarch 31, 2011
✔ NPI 1336331339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4915 UTICA RIDGE RD, Davenport, IA 52807

Other Identifiers 3

OtherT01112IA · Upin
Medicare PINI7875IA
Medicaid1192278IA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tri-med Health & Wellness Center, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tri-Med Health & Wellness Center, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1790786358
3400 DEXTER CT STE 105
Davenport, IA 52807
(563) 823-5555
✔ Accepts Medicare0.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tri-Med Health & Wellness Center, PC's NPI number?

The NPI number for Tri-Med Health & Wellness Center, PC is 1336331339. It was assigned to this organization in the NPPES registry on August 14, 2007.

Where is Tri-Med Health & Wellness Center, PC located?

Tri-Med Health & Wellness Center, PC is located at 4915 Utica Ridge Rd, Davenport, IA 52807. The listed phone number is (563) 823-5555.

What is Tri-Med Health & Wellness Center, PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Tri-Med Health & Wellness Center, PC enrolled in Medicare?

Yes. Tri-Med Health & Wellness Center, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tri-Med Health & Wellness Center, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Tri-Med Health & Wellness Center, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tri-Med Health & Wellness Center, PC was last updated on March 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.